| Laurel V. Brown, Llc | |
|
1881 Ne 26th St Suite 102 Wilton Manors FL 33305-1416 | |
| (954) 495-8490 | |
| (954) 495-8592 |
| Full Name | Laurel V. Brown, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1881 Ne 26th St, Wilton Manors, Florida |
| Authorized Official Name and Position | Laurel Brown (MANAGING MEMBER) |
| Authorized Official Contact | 5614479679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel V. Brown, Llc 672 Sw 4th St Boca Raton FL 33486-4610 Ph: (561) 447-9679 | Laurel V. Brown, Llc 1881 Ne 26th St Suite 102 Wilton Manors FL 33305-1416 Ph: (954) 495-8490 |
| NPI Number | 1831324581 |
|---|---|
| Provider Enumeration Date | 05/26/2009 |
| Last Update Date | 05/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831324581 | NPI | - | NPPES |
| Z4761Z | Other | MEDICARE PROVIDER NO. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW2899 (Florida) | Primary |
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